The short answer for Oregon. Every med spa patient is treated as the director’s own: an evaluation establishing the diagnosis and treatment, informed consent before treatment, and proper documentation.
A good faith exam is a clinical evaluation by a licensed provider, before treatment, establishing that the treatment is appropriate for that patient. What differs between states is who is allowed to perform it, whether it may happen remotely, and what has to be documented. This page sets out what we have verified for Oregon against primary sources, and says so plainly where a question is unsettled.
Who may perform the good faith exam in Oregon
Every med spa patient is treated as the director’s own: an evaluation establishing the diagnosis and treatment, informed consent before treatment, and proper documentation.
Medical director. A licensed physician — or an independent nurse practitioner — actively involved in patient care and supervision. Not a name on a protocol.
Delegation and supervision. Diagnosis of a medical condition and development of a treatment plan are NON-DELEGABLE to anyone not licensed to provide independent medical judgment. Delegation otherwise only where the director has confirmed the staff member’s education and training.
The gate that catches operators in Oregon
SB 951 bars dual roles between the professional entity and the MSO and bars MSO control over clinical and defined business decisions. Ownership and control rules bite 1 Jan 2026 for entities formed on or after 9 June 2025, and 1 Jan 2029 for pre-existing ones.
Restrictive-covenant provisions applied immediately. The ownership clock is the date to diary.
What makes the exam defensible
Nobody is ever asked to produce a good faith exam on a good day. The request arrives after a complication, a board complaint, an insurance audit or a buyer’s diligence. Five things decide whether what you hand over helps you:
- A qualified practitioner, permitted in that state, actually performed it.
- A real evaluation happened — history, indications, contraindications, and a decision.
- The treatment plan and the order are specific: drug or device, site, dose or settings.
- Informed consent was taken and recorded before treatment, not after.
- The record still exists, unaltered and retrievable, two years later when somebody asks.
Only the first of those is state-specific. The other four fail in exactly the same way in Oregon as everywhere else, and they are where most exam processes actually break — not on the licence question, but on documentation nobody kept.
How Oregon sits on structure
Corporate practice of medicine. Restricted, and SB 951 is the most restrictive MSO statute in the country.
The exam and the structure are separate questions and they fail separately. A perfectly documented exam performed inside an entity that may not lawfully deliver the service is still a problem, and a clean entity does not save a rubber-stamped exam. See medical direction in Oregon for the structure side.
What MDside provides in Oregon
- Oregon-licensed physicians performing the exam themselves — not a queue of signatures.
- A written evaluation, treatment plan and order per patient, in a record you keep and can export.
- Protocols and delegation written to Oregon, matched to the services actually on your menu.
- A named Oregon medical director doing the work, where your structure needs one.
- 503A and 503B pharmacy relationships and in-house lab draws where the treatment calls for them.
Book a call and we will read your current exam process against the five tests above, in Oregon and any other state you operate in. The review is free and you are not obliged to use us for the fix.
Read the detail on Oregon
Frequently asked questions
Who can perform a good faith exam in Oregon?
Every med spa patient is treated as the director’s own: an evaluation establishing the diagnosis and treatment, informed consent before treatment, and proper documentation.
Can the exam be done by telehealth in Oregon?
That depends on the state rule above and on the treatment. Where we have verified a restriction it is stated on this page; where the position is unsettled we say so rather than guess, and we confirm it with the board before you build a remote funnel.
Does Oregon require a physician medical director?
A licensed physician — or an independent nurse practitioner — actively involved in patient care and supervision. Not a name on a protocol.
What happens if the exam is not documented?
The exam effectively did not happen. In a complaint, an audit or a sale, an undocumented evaluation is treated as no evaluation — which is why the record, not the call, is the thing you are actually buying.
Primary sources for Oregon: Or. SB 951 (2025); ORS ch. 677; Oregon Medical Board guidance. Last reviewed 2026-09-03. Corrections are welcome and get made: contact us.
General information about good faith exams and practice structure in Oregon, not legal advice. Requirements differ by state and change often. Confirm your obligations with healthcare counsel licensed in Oregon.